Clinical Prediction Rule for Early Discharge of Patients After Presumed Opioid Overdosage

Purpose: To determine if a patient with an opioid overdose can be discharged after therapy and observation using the decision rule of Christenson et al.

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Evaluation

Are you evaluating a patient who appears to have had an opioid overdose?

Yes

Has the patient responded to administration of naloxone?

Yes

Number of hours of observation after the naloxone administration

Body temperature

Heart rate

beats per minute

Respiratory rate

breaths per minute

Oxygen saturation on room air (enter from 0 to 100)

percent

Glasgow Coma Score (enter from 3 to 15)

Is the patient able to walk without aid?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Does the patient meet the selection criteria?

Number of criteria met

Can the patient be discharged with reasonable safety?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Accumulative Prognostic Index Depressant Intoxication
Severity, Prognosis, Stage
- Cannabis Hyperemesis Syndrome (CHS)
Complications
- Respiratory Depression Due to Co-Ingestion of Two or More CNS Depressants
Differential Diagnosis And Mimics, Red Flags
- Differential Diagnosis of Dyspnea in Person Who Abuses Drugs
- Spectrum of Acute Renal Injury Associated with MDMA (Ecstasy) or Other Party Drugs

Monitoring

Adverse Effects

Specialty

Toxicology
Emergency Medicine
Critical Care

Objective

risk factors
severity
prognosis
stage
selection
adverse effects

ICD-10

F11.1 - Mental and behavioural disorders due to use of opioids, harmful use

Info

Purpose: To determine if a patient with an opioid overdose can be discharged after therapy and observation using the decision rule of Christenson et al.

Specialty: Toxicology, Emergency Medicine, Critical Care

Objective: risk factors, severity, prognosis, stage, selection, adverse effects

ICD-10: F11.1,

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